| Winning Ways Camp Registration Form Advanced Skills Camp, Lely High School July 21 - July 25
Name_______________________________________ Gender___________
Age____________ Height__________ Weight_________ Grade__________
Street Address___________________________________________________
City____________________
Home Phone_______________Cell______________
Email Address______________________
Advanced Shooting Camp9am to 12pm______ Cost $89
Guard/Perimeter Camp 1pm to 4pm______Cost $89
Post Camp 1pm to 4pm___Cost $89
Advanced Shooting - Guard-Perimeter Camp____$149 Save $29
Advanced Shooting and Post Camp_____$149 Save $29
Please mail to: Winning Ways of SWFLA, 17800 Modena Road, Fort Myers, Fla. 33913
WAIVER AND RELEASE: I understand that any camper who does not abide by the rules and regulations promulgated by the camp is subject to dismissal without reimbursement or recourse.
LIABILITY WAIVER: I hereby authorize the Director of Winning Ways of SWFLA, Inc. to act for me according to his/her best judgment in any emergency requiring medical attention. I hereby release, discharge and indemnify Winning Ways of SWFLA, Inc. camp staff, affiliated entities and their officers, agents and employees from and against any and all liability or causes of actions arising out of, or in connection with, my and/or my child's participation in the camp.
Parent's Signature: _____________________________Date:___________
Parent's Name:_________________________________
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